
Metformin is the first-line therapy for type 2 diabetes, but there are large inter-individual variations in responses to this drug. Its mechanism of action is not fully understood, but activation of AMP-activated protein kinase (AMPK) and changes in the gut microbiota appear to be important. The inhibitory role of microbial metabolites on metformin action has not previously been investigated. Here, we show that concentrations of the microbial metabolite imidazole propionate are higher in subjects with type 2 diabetes taking metformin who have high blood glucose. We also show that metformin-induced glucose lowering is not observed in mice pretreated with imidazole propionate. Furthermore, we demonstrate that imidazole propionate inhibits AMPK activity by inducing inhibitory AMPK phosphorylation, which is dependent on imidazole propionate-induced basal Akt activation. Finally, we identify imidazole propionate-activated p38γ as a novel kinase for Akt and demonstrate that p38γ kinase activity mediates the inhibitory action of imidazole propionate on metformin.
MECHANISM, Male, INCREASES, AMP-Activated Protein Kinases, Cell Line, SULFASALAZINE, Mice, Short Article, Mitogen-Activated Protein Kinase 12, Animals, Humans, Hypoglycemic Agents, Phosphorylation, MTORC1, INSULIN-RESISTANCE, AKT, ACTIVATED PROTEIN-KINASE, Imidazoles, CHEMOTHERAPY, Metformin, Mice, Inbred C57BL, Diabetes Mellitus, Type 2, SKELETAL-MUSCLE, INACTIVATION, Injections, Intraperitoneal
MECHANISM, Male, INCREASES, AMP-Activated Protein Kinases, Cell Line, SULFASALAZINE, Mice, Short Article, Mitogen-Activated Protein Kinase 12, Animals, Humans, Hypoglycemic Agents, Phosphorylation, MTORC1, INSULIN-RESISTANCE, AKT, ACTIVATED PROTEIN-KINASE, Imidazoles, CHEMOTHERAPY, Metformin, Mice, Inbred C57BL, Diabetes Mellitus, Type 2, SKELETAL-MUSCLE, INACTIVATION, Injections, Intraperitoneal
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 122 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 1% | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 1% |
